Srinivasan Devanathan in Fort Wayne - Critical Care Medicine
Srinivasan Devanathan - NPI 1104874452
Srinivasan Devanathan is a Critical Care Medicine in Fort Wayne, Indiana. Srinivasan Devanathan practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Srinivasan Devanathan is 1104874452. The last update date is 2022-10-17.
Srinivasan Devanathan's current location address is 8028 Carnegie Blvd., Fort Wayne, Indiana. You can contact this provider via phone number 2609697100 and fax number 2609697263. The mailing address for Srinivasan Devanathan is 8028 Carnegie Blvd., Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Srinivasan Devanathan |
|---|---|
| Address | 8028 Carnegie Blvd., Fort Wayne, Indiana |
| Phone Number | 2609697100 |
| Fax Number | 2609697263 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104874452 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 8028 Carnegie Blvd. |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468045790 |
| Phone Number | 2609697100 |
| Fax Number | 2609697263 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 01059028A |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200481860 | IN | -- | |
| P00867128 | IN | R.R. MEDICARE | |
| 670561 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Srinivasan Devanathan by the Centers for Medicare & Medicaid Services?
The Srinivasan Devanathan has been issued the NPI (National Provider Identifier) 1104874452 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Srinivasan Devanathan is physically located?
The Srinivasan Devanathan is physically situated at the following address: 8028 Carnegie Blvd., Fort Wayne, IN, 468045790.
What is Srinivasan Devanathan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Srinivasan Devanathan's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104874452 to Srinivasan Devanathan?
The Centers for Medicare & Medicaid Services assigned the 1104874452 to Srinivasan Devanathan on 2006-05-05.
When was the information related to Srinivasan Devanathan most recently updated or refreshed?
The details pertaining to the Srinivasan Devanathan, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-17.